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UK Private Medical Insurance 2009

Published by: Datamonitor

Published: May. 11, 2009 - 107 Pages


Table of Contents


Overview
Catalyst
Summary
Executive Summary
The PMI market saw stellar growth in 2008
The UK PMI market grew again in 2008
Standard Life marketed heavily in 2008
Pru Health, AXA and Simplyhealth grew their market share in 2008
Pru Health's business grew by over 50%
AXA's PMI business added nearly £90m in premiums
Simplyhealth's market share grew to 2.1%
Total health insurance premium income will grow slowly in 2009 and 2010 before seeing steadier growth between 2011 and 2013
Slow growth is expected in 2009 and 2010
The group sector is expected to see slightly lower growth than the individual market in the short-term
Table of Contents
Table of tables
Market issues
Introduction
Health insurers can now help consumers with the cost of cancer drugs
NHS patients are now allowed to pay privately for additional drugs without forgoing their NHS care
A cancer top-up policy could be attractive to consumers who have been diagnosed with cancer or are conscious of contracting cancer
There is debate on the potential market size for cancer top-up policies
Retention activity is more important than ever
The previous recession appears to have taken a toll on the PMI market suggesting difficult times ahead
Interviewees are already feeling the effects of the recession
Maximizing retention rates is key to protecting revenue in the recession
Market context
Introduction
The PMI market saw stellar growth in 2008
The UK PMI market grew again in 2008
The group market drove subscriber growth for the second year running
The number of group subscribers grew by 6.1% in 2008
The total number of people covered by a PMI policy increased by 3.7%
Premium rates increased again
Average premium rates grew for both group and individual policies
Claims costs increased
Healthcare trust schemes pose a threat to the PMI market
There is significant potential to grow the penetration of PMI
Low overall coverage means PMI insurers could grow the market
The penetration rate of PMI varies little with age
Penetration peaks among wealthier consumers
Penetration of PMI is highest among the AB socio-economic group
Consumers over the age of 45 form the core market for individual health insurance
Marketing and distribution
Introduction
Standard Life marketed heavily in 2008
Standard Life marketed its EspritHealth product heavily in 2008
The top 10 PMI advertisers are focusing on direct mail advertising
A direct distribution strategy is the key way to target the individual market
Individual PMI policies are most likely to be arranged via an employer or direct with the insurer
A direct strategy is key to winning customers aged over 60
A phone-based sales strategy is an important means of acquiring the over 60s consumer
Individuals who do not receive PMI via their employers are most likely to buy a policy over the phone
Phone sales are particularly important in acquiring consumers aged over 60
It is essential to offer lower cost products in order to bring new customers into the market
Over 15% of non-PMI customers are interested in taking out a policy
PMI providers should be focusing on consumers aged between 18 and 29
Consumers in the mid to upper income bands are the core market for PMI
It is essential that PMI providers continue to bring low cost products to the market
Insurers should pay special attention to the idea that the NHS does not give adequate medical care when targeting the over 60s
Competitive dynamics
Introduction
Pru Health, AXA and Simplyhealth grew their market share in 2008
Pru Health's business grew by over 50%
AXA's PMI business added nearly £90m in premiums
Simplyhealth's market share grew to 2.1%
BUPA, AXA, Aviva, Standard Life and WPA continue to rank as the top five competitors
BUPA, AXA and Aviva controlled 81.4% of the market in 2008
Standard Life saw its market share contract by 0.3 percentage points
WPA grew its GEP by 2.7% while its market share decreased marginally in 2008
Legal & General's premiums fell as it has withdrawn from underwriting policies
Most of the top 10 health insurers play in the group and individual sectors
Future decoded
Introduction
Datamonitor expects the number of group and individual subscribers to fall in the short-term
The number of individual subscribers is expected to fall throughout the forecast period
The number of group subscribers is expected to fall in 2009 and 2010 due to the recession but resume growth between 2011 and 2013
Premium rates are expected to increase throughout the forecast period
Total health insurance premium income will grow slowly in 2009 and 2010 before seeing steadier growth between 2011 and 2013
Slow growth is expected in 2009 and 2010
The group sector is expected to see slightly lower growth than the individual market in the short-term
APPENDIX
Definitions
Further reading
Ask the analyst
Datamonitor consulting
Disclaimer
List of Tables
Table 1: Subscriber numbers and unemployment rate, 1985-2008
Table 2: UK PMI GEP by sector, 2004-08 (£m)
Table 3: Number of UK PMI subscribers and number of people covered by policy type, 2004-08 (000s)
Table 4: Estimated UK PMI average policy premium by policy type and total claims incurred, 2004-08
Table 5: Comparison of the number of group PMI subscribers and healthcare trust subscribers, 2004-08 (000s)
Table 6: Are you covered by a private medical insurance policy, either personally or jointly with a partner? Responses split by age (September 2008)
Table 7: Are you covered by a private medical insurance policy, either personally or jointly with a partner? Responses split by household income (September 2008)
Table 8: Are you covered by a private medical insurance policy, either personally or jointly with a partner? Responses split by socio-economic group (September 2008)
Table 9: Who pays the premiums on your private medical insurance policy? Responses split by age (September 2008)
Table 10: Marketing spend on PMI products, top 10 advertisers, 2008
Table 11: Marketing spend by media, top 10 PMI advertisers, 2008 (%)
Table 12: Which of these best describes how you arranged your PMI policy? (September 2008)
Table 13: Which of these best describes how you arranged your PMI policy? Responses split by age (September 2008)
Table 14: Which of these best describes how you arranged your PMI policy? (September 2008)
Table 15: Which of these best describes how you arranged your PMI policy? Responses split by age (September 2008)
Table 16: How interested would you be in buying a private medical insurance policy for yourself or your family? (September 2008)
Table 17: How interested would you be in buying a private medical insurance policy for yourself or your family? Split by age (September 2008)
Table 18: How interested would you be in buying a private medical insurance policy for yourself or your family? Responses split by household income (September 2008)
Table 19: Why do you not have private medical insurance? (Multiple responses allowed) (September 2008)
Table 20: Why do you not have private medical insurance? Responses split by age (September 2008)
Table 21: Gross earned premium and market share of the top 10 UK PMI insurers, 2007-08
Table 22: Forecast of the number of UK PMI subscribers, 2009-13f (000s)
Table 23: Forecast of the average PMI premium, 2009-13f (£)
Table 24: Forecast of UK PMI GEP, 2009-13f (£m)
List of Figures
Figure 1: The group and individual PMI markets grew again in 2008
Figure 2: WPA offers mycancerdrugs as part of its health-top up policy for an additional £4.20 per month
Figure 3: The previous recession appears to have taken its toll on the PMI market
Figure 4: The group and individual PMI markets grew again in 2008
Figure 5: The number of group PMI subscribers grew significantly in 2008
Figure 6: Average premium rates continue to rise in order to combat claims inflation
Figure 7: Healthcare trust schemes pose a threat to the PMI market
Figure 8: There is a significant potential to grow the PMI market
Figure 9: The penetration rate of PMI remains broadly the same across different age groups
Figure 10: Penetration rises significantly among higher income households
Figure 11: The penetration rate of PMI peaks among the AB socio-economic group
Figure 12: Consumers over the age of 45 form the core market for individual health insurance
Figure 13: Standard Life raised its stake in marketing spending in 2008 while Bupa still spent the most money
Figure 14: Bupa, HSA and WPA focused their marketing strategy on TV adverts in 2008
Figure 15: The direct channel is the best way to target the individual PMI market
Figure 16: A direct distribution strategy is key in acquiring consumers aged over 60
Figure 17: Nearly a fifth of policyholders arranged their policy over the phone
Figure 18: Phone sales are particularly important in acquiring consumers aged over 60
Figure 19: Over 15% of non-PMI customers are interested in buying a policy
Figure 20: Consumers aged between 18 and 29 are most interested in buying a private medical insurance policy
Figure 21: Mid to higher income consumers are most interested in buying PMI
Figure 22: PMI providers must continue to bring low cost products to the market in order to grow volume
Figure 23: A high proportion of consumers over 60 years old feel that the NHS gives adequate medical care
Figure 24: Pru Health, AXA and Simplyhealth gained market share in 2008
Figure 25: Most insurers have a presence in the individual and group markets
Figure 26: Group and individual subscriber numbers are expected to dip in 2009 and 2010
Figure 27: Average premiums are forecast to increase in both the group and individual markets
Figure 28: Datamonitor expects to see slow growth in the health insurance market in 2009 and 2010 before steadier growth resumes between 2011 and 2013

Abstract

Introduction

This report gives a comprehensive analysis of the UK private medical insurance sector. An exclusive survey of over 3,500 consumers provides insight into buyer behavior. The report also assesses the current market issues including the potential for cancer top-up policies and the recession and includes data on market size, structure, distribution channels and market shares.

Scope
  • Consumer research on methods of arrangement and future buyer interest based on an exclusive survey of over 3,500 consumers.
  • Insight into the effects of the recession and the potential for cancer top-up policies.
  • Data on the market share of the top groups as well as an analysis of the marketing spend of the top brands.
  • Forecasts of the future size of the market, subscriber numbers and the drivers that will affect the market going forward.
Highlights

One of the issues currently affecting the PMI market is the recession. The UK officially entered a recession in the second half of 2008, with two successive quarters of negative GDP growth and there has been a lot of speculation as to how severely this will affect the PMI market.

In November 2008 the government announced that NHS patients would be allowed to pay privately for additional drugs without losing access to NHS care. This could open up a new revenue stream for insurers. The ruling opens up the opportunity for PMI insurers to offer insurance for cancer drugs without the policyholder losing access to NHS care.

Datamonitor expects to see slow growth in the size of the health insurance market in 2009 and 2010 due to lower retention rates and less new business in light of the economic situation. Thereafter, as the economy picks up, Datamonitor forecasts that the PMI market will see steadier growth, with GEP increasing by between 4% and 5% annually.

Reasons to Purchase
  • Understand which of your competitors pose the greatest threat, which competitors are gaining market share and which are losing market share.
  • Assess penetration rates, future buyer interest and the most effective distribution channels.
  • Gain insight into the future direction of the sector, including market size and subscriber numbers and the major issues affecting the market.


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